Development and Clinical Evaluation of MatrixMANDIBLE Subcondylar Plates System (Synthes)

Cortelazzi, R; Altacera, Mario; Turco, M.; ANTONICELLI, Viviana; Benedittis, M. De

doi:10.1055/s-0034-1395382

Cited by 31 publications

(23 citation statements)

References 52 publications

(111 reference statements)

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“…Clinical application of A-shaped plate was as versatile as makes possible to simultaneous fixation of high condylar neck and coronoid process fracture. Moreover, it could be used for all levels of condylar neck fracture [13][14][15][16][17].…”

Section: Discussionmentioning

confidence: 99%

Clinical and radiographic outcomes of rhomboid plate in management of subcondylar fractures: prospective randomized controlled trial

Ashor

Salah

Shindy

et al. 2018

OMX

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Purpose: The aim of this study was to compare the clinical and radiological outcomes of treatment of mandibular subcondylar fractures using three-dimensional rhombus plates versus two miniplates techniques. Patients and Methods: A total of 20 patients having subcondylar fractures indicated for open reduction and plate fixation were recruited from Ahmed Maher Teaching Hospital and Faculty of Dentistry, Ain Shams University, and randomly divided into two equal groups. Study group was treated using three-dimensional rhombus plates, and the control group was treated using two miniplates (2.0): one parallel to posterior border of the mandible and the other parallel to sigmoid notch. The clinical and radiological outcomes of the treatment such as bone fixation stability, occlusion, mandibular movements, time of fixation, and cost of hardware were assessed and statistically analyzed. Results: There was no statistically significant difference between the two groups in all comparisons except time of fixation and cost of hardware, as three-dimensional rhombus plates were more costly and time saving. Conclusion: Three-dimensional rhombus plate has clinical and radiographic outcomes comparable to two miniplates, offering less operative time, with strong recommendation for high subcondylar fracture.

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Section: Discussionmentioning

confidence: 99%

Clinical and radiographic outcomes of rhomboid plate in management of subcondylar fractures: prospective randomized controlled trial

Ashor

Salah

Shindy

et al. 2018

OMX

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“…The literature presents results in both experimental and clinical studies using 3D plates [97,106,107,108,109,110,111,112,113,114,115,116,117,118]. Their advantage over conventional Also Kim et al argue that using biodegradable plates is a stable and reliable method for the management of mandibular subcondylar fractures and eliminates the need for secondary surgery for plate removal [128].…”

Section: The Choice Of Surgical Approach For the Open Treatment Of Comentioning

confidence: 99%

Aktualne poglądy na temat leczenia złamań wyrostka kłykciowego żuchwy

Sikora

Olszowski

Chlubek

2018

Pomeranian J of Life Sci

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The aim of this review was to present and discuss current views on the treatment of condylar fractures (CFs). The authors addressed the following issues: the etiology, epidemiology and mechanisms of CFs; strategies and methods for the treatment of CFs. Moreover, the choice of surgical approach for the open treatment of CFs as well as techniques and materials used for fixation of CF are discussed.The PubMed database was used to search for relevant articles published between 2000 and 2018. The analysis referred to both original and review papers (including meta-analyses) that concerned adult patients. There are still differences in opinions among researchers regarding the choice of appropriate treatment – closed or open. There is no consensus among open treatment supporters in choosing the right surgical approach. The important question is which material to choose for osteosynthesis of the condylar fracture.Recent studies show satisfactory results in terms of stability of condylar osteosynthesis with the use of 3D plates. Further discussion is required on the choice of material for fixation of the condylar fracture and, in particular, on the possibility of using resorbable materials.

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“…The use of two four-hole miniplates with monocortical screws has proven to be the most reliable means of fixation and is generally considered the gold standard. 50,51 An anterior plate is positioned along the rim of the sigmoid notch, which resists tensile strains, while a posterior plate is positioned along the posterior ramus, which resists compressive strains. 52 The use of two miniplates in the narrow condylar neck region is not always feasible, however, and various novel plate designs have been proposed to overcome the anatomic constraints of this region.…”

Section: Achievement Of Stable Osteosynthesismentioning

confidence: 99%

Contemporary Issues in the Open Management of Subcondylar Fractures of the Mandible

et al. 2016

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Subcondylar fractures encompass a large portion of mandible fractures. Owing to their proximity to the temporomandibular joint and difficulty achieving surgical exposure, treatment of these fractures has been challenging and highly debated throughout the literature. While no one modality is the accepted gold standard, there are multiple options for addressing these fractures that can yield satisfying results for both patient and surgeon alike. A thorough literature review was conducted using PubMed, analyzing articles in the past 15 years for relevance to the subject matter. Various search terms were used to glean information regarding closed treatment, open treatment, and the risks and benefits of the different surgical approaches involved. The articles were reviewed by all of the authors for applicability and quality of data provided. A total of 50 articles were selected for inclusion in the current study. The open management of subcondylar fractures encompasses a vast array of techniques. While some surgeons advocate closed treatment in some circumstances, open treatment affords numerous advantages with the advent of multiple access modalities. There is no single superior method, and as such, the craniofacial surgeon should have a comprehensive understanding of options so as to select the appropriate option that is individualized to the patient. A clear understanding of fracture biomechanics balanced with patient expectations and operative safety allows for the surgeon to make a sound decision for treatment.

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Development and Clinical Evaluation of MatrixMANDIBLE Subcondylar Plates System (Synthes)

Cited by 31 publications

References 52 publications

Clinical and radiographic outcomes of rhomboid plate in management of subcondylar fractures: prospective randomized controlled trial

Clinical and radiographic outcomes of rhomboid plate in management of subcondylar fractures: prospective randomized controlled trial

Aktualne poglądy na temat leczenia złamań wyrostka kłykciowego żuchwy

Contemporary Issues in the Open Management of Subcondylar Fractures of the Mandible

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